Info
Clinical manifestations of chronic lymphocytic leukemia
- Often asx & identified by lymphocytosis on CBC; 10-20% p/w “B symptoms”
- Lymphadenopathy (80%)
- hepatosplenomegaly (50%)
- Autoimmune hemolytic anemia (AIHA) (~10%)
- thrombocytopenia (ITP) (~1-2%)
- Hypogammaglobulinemia ± neutropenia → ↑ susceptibility to infections
- Bone marrow failure in ~13%; monoclonal gammopathy in ~5%
- Aggressive Richter’s transformation in ~5% into high-grade lymphoma (poor prognosis)